White, Angela J

White, Angela J is an individual health care provider with primary practice located at 5009 Riverchase Dr Suite 500, Phenix City AL 36867-7490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Angela J can be contacted via phone (334) 448-9505.

Contact Information

Primary practice address
5009 Riverchase Dr Suite 500 Phenix City AL 36867-7490
Fax: (334) 448-9575
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-074021 Alabama

Profile Details

NPI number 1114277944
LBN Legal business name White, Angela J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114277944 NPPES
Alabama Other 1-074021 STATE OF ALABAMA NURSE PRACTITIONER LICENSE

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